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psnet.ahrq.gov/issue/emergency-department-medication-lists-are-not-accurate
March 02, 2010 - Study
Emergency department medication lists are not accurate.
Citation Text:
Caglar S, Henneman PL, Blank FS, et al. Emergency department medication lists are not accurate. J Emerg Med. 2011;40(6):613-6. doi:10.1016/j.jemermed.2008.02.060.
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www.ahrq.gov/news/newsroom/case-studies/201605.html
May 01, 2016 - Blue Shield of California Foundation Uses AHRQ Guide to Reduce Hospital Readmissions
Search All Impact Case Studies
May 2016
AHRQ's Hospital Guide to Reducing Medicaid Readmissions was used by Blue Shield of California Foundation to apply evidence-based strategies that significantly cut hospital readmissi…
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psnet.ahrq.gov/issue/guideline-prevention-retained-surgical-items
April 26, 2023 - Commentary
Guideline for prevention of retained surgical items.
Citation Text:
Putnam K. Guideline for prevention of retained surgical items. AORN J. 2015;102(6):P11-P13.
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psnet.ahrq.gov/issue/common-body-care-ethics-and-politics-teamwork-operating-theater-are-inseparable
September 27, 2016 - Commentary
A common body of care: the ethics and politics of teamwork in the operating theater are inseparable.
Citation Text:
Bleakley A. A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. J Med Philos. 2006;31(3):305-22.
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psnet.ahrq.gov/issue/tolerance-uncertainty-and-practice-emergency-medicine
May 25, 2022 - Commentary
Tolerance of uncertainty and the practice of emergency medicine.
Citation Text:
Platts-Mills TF, Nagurney JM, Melnick ER. Tolerance of uncertainty and the practice of emergency medicine. Ann Emerg Med. 2020;75(6):715-720. doi:10.1016/j.annemergmed.2019.10.015.
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psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
October 23, 2024 - Commentary
Guideline implementation: prevention of retained surgical items.
Citation Text:
Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48. doi:10.1016/j.aorn.2016.05.005.
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psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
April 08, 2020 - Newspaper/Magazine Article
The other opioid crisis: hospital shortages lead to patient pain, medical errors.
Citation Text:
The other opioid crisis: hospital shortages lead to patient pain, medical errors. Bartolone P. Kaiser Health News. March 16, 2018.
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psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing
January 26, 2022 - Commentary
Opioids for pain management in older adults: strategies for safe prescribing.
Citation Text:
Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2). doi:10.1097/01.npr.0000511772.62176.10.
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psnet.ahrq.gov/issue/surgical-adverse-events-systematic-review
June 01, 2012 - Review
Surgical adverse events: a systematic review.
Citation Text:
Anderson O, Davis R, Hanna GB, et al. Surgical adverse events: a systematic review. Am J Surg. 2013;206(2):253-62. doi:10.1016/j.amjsurg.2012.11.009.
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psnet.ahrq.gov/issue/simple-checklist-preventing-major-complications-associated-cesarean-delivery
January 10, 2024 - Commentary
A simple checklist for preventing major complications associated with cesarean delivery.
Citation Text:
Duff P. A simple checklist for preventing major complications associated with cesarean delivery. Obstet Gynecol. 2010;116(6):1393-1396. doi:10.1097/AOG.0b013e3181fae763.
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psnet.ahrq.gov/issue/flaws-clinical-reasoning-common-cause-diagnostic-error
September 30, 2012 - Commentary
Flaws in clinical reasoning: a common cause of diagnostic error.
Citation Text:
Wellbery C. Flaws in clinical reasoning: a common cause of diagnostic error. Am Fam Physician. 2011;84(9):1042-8.
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psnet.ahrq.gov/issue/engaging-patients-and-family-members-patient-safety-experience-new-york-city-health-and
October 19, 2022 - Study
Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation.
Citation Text:
Wale JB, Moon RR. Engaging patients and family members in patient safety--the experience of the New York City Health and Hospitals Corporation…
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psnet.ahrq.gov/issue/patient-safety-lessons-learned
October 18, 2017 - Commentary
Patient safety: lessons learned.
Citation Text:
Bagian JP. Patient safety: lessons learned. Pediatr Radiol. 2006;36(4):287-90.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0576-150420.pdf
December 10, 2014 - Topic 0487 De-escalate Aggressive Behavior in Psychiatric Pts NSD FINAL CC clean
Comparative Effectiveness of Strategies to
De-escalate Aggressive Beha…
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psnet.ahrq.gov/issue/identifying-patients-sepsis-hospital-wards
October 19, 2022 - Review
Identifying patients with sepsis on the hospital wards.
Citation Text:
Bhattacharjee P, Edelson DP, Churpek MM. Identifying Patients With Sepsis on the Hospital Wards. Chest. 2016;151(4). doi:10.1016/j.chest.2016.06.020.
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digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-implementation-continuum-care-rural-iowa/annual-summary/2008
January 01, 2008 - Electronic Health Record Implementation for Continuum of Care in Rural Iowa - 2008
Project Name
Electronic Health Record Implementation for Continuum of Care in Rural Iowa
Principal Investigator
O'Brien, John
Organization
Hancock County Health Services
Funding Mechani…
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psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts
April 03, 2019 - Newspaper/Magazine Article
Surgical fires: decreasing incidence relies on continued prevention efforts.
Citation Text:
Surgical fires: decreasing incidence relies on continued prevention efforts. Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June…
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psnet.ahrq.gov/issue/multifaceted-approach-improve-patient-safety-prevent-medical-errors-and-resolve-professional
June 12, 2008 - Commentary
A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis.
Citation Text:
Weinstein L. A multifacited approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. Am J …
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psnet.ahrq.gov/issue/funding-announcement-projects-targeting-reduction-healthcare-associated-infections
August 01, 2012 - Grant Announcement
Funding Announcement for Projects Targeting the Reduction of Healthcare-Associated Infections.
Citation Text:
Funding Announcement for Projects Targeting the Reduction of Healthcare-Associated Infections. Rockville, MD: Agency for Healthcare Research and Quality; July …
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psnet.ahrq.gov/issue/public-has-been-forgiving-hospitals-got-some-things-wrong
April 03, 2019 - Newspaper/Magazine Article
The public has been forgiving. But hospitals got some things wrong.
Citation Text:
Ofri D. The public has been forgiving. But hospitals got some things wrong. New York Times. 2020; May 21.
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